JEWELIA WAGNER (MD) – Obstetrics & Gynecology Physician, NPI 1245490952
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 OBSTETRICS/GYNECOLOGY in MN
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Provider Addresses for JEWELIA WAGNER (MD)
University of Kansas - School of Medicine Wichita Campus Kansas University Medical School, 1010, North Kansas Street, Wichita, Sedgwick County, Kansas, 66214, United States
WICHITA, KS 672143124
Phone: (316) 962-3030
Type: Mailing
France Avenue South, Parklawn, Edina, Hennepin County, Minnesota, 55431, United States
EDINA, MN 55435
Phone: (952) 922-7600
Fax: (952) 345-4448
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $324.
Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Exeltis, USA Inc. ($79).
Total Amount
$324
General + Research + Ownership
Payments
18
Total payment records
General Amount
$324
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $79 |
| Exact Sciences Corporation | $46 |
| Hologic Sales and Service, LLC | $21 |
| ABBVIE INC. | $19 |
| MAYNE PHARMA COMMERCIAL LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120913000837 | I | Obstetrics/Gynecology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN |
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